Based on state Nurse Practice Standards, observation, staff interview, record review, and facility policy review, the facility failed to follow the professional standards of practice for documenting and providing medical treatments for wounds for three (3) of five (5) wound observations. Resident #52, Resident #103 and Resident #269. The facility's failure to follow standards of practice by failing to implement and follow physician orders for wound care and treatments caused serious harm to Resident #52, Resident #103 and Resident #269 and placed all other residents who are at risk for skin breakdown at risk for serious harm, injury, impairment, or death. …
F658 citations in Mississippi
Professional standards of care · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Mississippi cites F658 less often than its own record predicts
0.97 times the national share — cited less often here than elsewhere.
Of every deficiency written in Mississippi in 2025, this is the portion that was F658.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Mississippi surveyors wrote
F658 findings written in Mississippi, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interviews, record review, and facility policy review, the facility failed to ensure that medications were administered in accordance with accepted standards of nursing practice and professional guidelines for one (1) of four (4) sampled residents (Resident #1) as evidenced by Licensed Practical Nurse (LPN) #1 failed to verify the resident's identity before administering medications and pre-pulled medications without immediate administration, resulting in Resident #1 receiving another resident's medications. …
Based on observation, staff interview, record review, and facility policy review, the facility failed to administer enteral flushes according to physician orders for one (1) of seven (7) residents reviewed during medication administration observations. Resident #50Findings Include:Review of the facility policy titled Medication Administration via Enteral Tube, revised 11/7/25, revealed Policy: It is the policy of this facility to ensure the safe and effective administration of medications via enteral feeding tubes by utilizing best practice guidelines .Procedure a. …
The short window
Recent years
| Year | Share of Mississippi citations | vs expected |
|---|---|---|
| 2023 | 1.89% | 1.18× |
| 2024 | 1.41% | 0.86× |
| 2025 | 1.73% | 0.97× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Mississippi surveyors cite →
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